The caregiving role following percutaneous coronary intervention

John Rolley, Janice Smith, Michelle DiGiacomo, Yenna Salamonson, Patricia M. Davidson

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

AIM: The aim of this study is to describe the experience of caregivers of individuals who have had a percutaneous coronary intervention (PCI).

BACKGROUND: Decreased lengths of hospital stay and an increased emphasis on chronic disease self-management increase the importance of carers in assisting in recovery and lifestyle modification.

DESIGN: Cross-sectional dual-moderated focus group design.

METHOD: Three focus groups using a dual facilitation approach were held in the cardiac rehabilitation setting of a tertiary referral hospital in metropolitan Sydney. All sessions were audio recorded, transcribed and thematically analysed.

RESULTS: Four themes emerged from the data: (1) a gendered approach to health, illness and caring; (2) shock, disbelief and the process of adjustment following PCI; (3) challenges and changes of the carer-patient relationship and (4) the needs of the carer for support and information. Issues emerging from this study parallel other findings describing the experience, yet provide new insights into the issues surrounding PCI.

CONCLUSION: These findings highlight the need for including carers in care planning and decision-making and providing them with support and resources.

RELEVANCE TO CLINICAL PRACTICE: Emphasises the importance of preparing carers of the likely experience following a PCI. Demonstrates the degree to which vigilance, deferment of carer-health needs and role conflict impact on the carer's personal relationship. Demonstrates the need for formal support interventions for carers of patients who have had PCI.

Original languageEnglish
Pages (from-to)227-35
Number of pages9
JournalJournal of Clinical Nursing
Volume20
Issue number1-2
DOIs
Publication statusPublished - Jan 2011
Externally publishedYes

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Percutaneous Coronary Intervention
Caregivers
Focus Groups
Length of Stay
Social Adjustment
Health
Self Care
Disease Management
Tertiary Care Centers
Life Style
Shock
Decision Making
Chronic Disease

Cite this

Rolley, John ; Smith, Janice ; DiGiacomo, Michelle ; Salamonson, Yenna ; Davidson, Patricia M. / The caregiving role following percutaneous coronary intervention. In: Journal of Clinical Nursing. 2011 ; Vol. 20, No. 1-2. pp. 227-35.
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The caregiving role following percutaneous coronary intervention. / Rolley, John; Smith, Janice; DiGiacomo, Michelle; Salamonson, Yenna; Davidson, Patricia M.

In: Journal of Clinical Nursing, Vol. 20, No. 1-2, 01.2011, p. 227-35.

Research output: Contribution to journalArticle

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T1 - The caregiving role following percutaneous coronary intervention

AU - Rolley, John

AU - Smith, Janice

AU - DiGiacomo, Michelle

AU - Salamonson, Yenna

AU - Davidson, Patricia M.

N1 - © 2010 Blackwell Publishing Ltd.

PY - 2011/1

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N2 - AIM: The aim of this study is to describe the experience of caregivers of individuals who have had a percutaneous coronary intervention (PCI).BACKGROUND: Decreased lengths of hospital stay and an increased emphasis on chronic disease self-management increase the importance of carers in assisting in recovery and lifestyle modification.DESIGN: Cross-sectional dual-moderated focus group design.METHOD: Three focus groups using a dual facilitation approach were held in the cardiac rehabilitation setting of a tertiary referral hospital in metropolitan Sydney. All sessions were audio recorded, transcribed and thematically analysed.RESULTS: Four themes emerged from the data: (1) a gendered approach to health, illness and caring; (2) shock, disbelief and the process of adjustment following PCI; (3) challenges and changes of the carer-patient relationship and (4) the needs of the carer for support and information. Issues emerging from this study parallel other findings describing the experience, yet provide new insights into the issues surrounding PCI.CONCLUSION: These findings highlight the need for including carers in care planning and decision-making and providing them with support and resources.RELEVANCE TO CLINICAL PRACTICE: Emphasises the importance of preparing carers of the likely experience following a PCI. Demonstrates the degree to which vigilance, deferment of carer-health needs and role conflict impact on the carer's personal relationship. Demonstrates the need for formal support interventions for carers of patients who have had PCI.

AB - AIM: The aim of this study is to describe the experience of caregivers of individuals who have had a percutaneous coronary intervention (PCI).BACKGROUND: Decreased lengths of hospital stay and an increased emphasis on chronic disease self-management increase the importance of carers in assisting in recovery and lifestyle modification.DESIGN: Cross-sectional dual-moderated focus group design.METHOD: Three focus groups using a dual facilitation approach were held in the cardiac rehabilitation setting of a tertiary referral hospital in metropolitan Sydney. All sessions were audio recorded, transcribed and thematically analysed.RESULTS: Four themes emerged from the data: (1) a gendered approach to health, illness and caring; (2) shock, disbelief and the process of adjustment following PCI; (3) challenges and changes of the carer-patient relationship and (4) the needs of the carer for support and information. Issues emerging from this study parallel other findings describing the experience, yet provide new insights into the issues surrounding PCI.CONCLUSION: These findings highlight the need for including carers in care planning and decision-making and providing them with support and resources.RELEVANCE TO CLINICAL PRACTICE: Emphasises the importance of preparing carers of the likely experience following a PCI. Demonstrates the degree to which vigilance, deferment of carer-health needs and role conflict impact on the carer's personal relationship. Demonstrates the need for formal support interventions for carers of patients who have had PCI.

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KW - Angioplasty, Balloon, Coronary

KW - Caregivers

KW - Conflict (Psychology)

KW - Cross-Sectional Studies

KW - Focus Groups

KW - Humans

KW - Role

KW - Journal Article

KW - Research Support, Non-U.S. Gov't

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DO - 10.1111/j.1365-2702.2009.03104.x

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EP - 235

JO - Journal of Clinical Nursing

JF - Journal of Clinical Nursing

SN - 0962-1067

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ER -